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The Medicaid.gov waiver list shows the California Home and Community Based Alternatives Waiver (0139.R06.00) with status Approved, a CMS approval date of 07/14/2026, an effective date of 01/01/2023 and an expiration date of 12/31/2027. The Medicaid.gov California factsheet says it provides case management, home respite, facility respite, waiver personal care services, family and caregiver training, private duty nursing and continuous nursing services to individuals who are medically fragile or technology dependent, of any age, who meet a hospital, nursing facility, or ICF/IID level of care. The page also lists an Appendix K and its approval letter dated 07/14/2026.

Who it affects: medically fragile or technology-dependent people

Why it matters: Families deciding whether a California Medicaid waiver can pay for respite, in-home or caregiver supports need to know which approved waiver covers the person they care for and when its approval period ends.

• Medicaid.gov waiver list entry for 0139.R06.00
• Medicaid.gov California waiver factsheet

Last reviewed Oct 15, 2026

H.R.5390 and S.2823 would establish a national paid family and medical leave insurance benefit, including caregiving leave for a qualified family member.

Who it affects: working family caregivers, workers without paid leave, care recipients with serious health conditions

Why it matters: Direct national wage replacement would be material for working caregivers, but this is proposed only and should be compared with state leave programs.

• GovInfo S.2823
• GovInfo H.R.5390
• GovInfo bill status for S. 2823
• GovInfo bill status for H.R. 5390

Last reviewed Oct 1, 2026

The bills would provide Medicare coverage of ALS-related services for individuals diagnosed with amyotrophic lateral sclerosis. Both were introduced on February 3, 2026 and referred to committee.

Who it affects: people living with ALS, ALS caregivers, specialty clinics

Why it matters: ALS caregivers often coordinate respiratory, mobility, nutrition, communication, social work, and palliative needs; clinic access can change the entire care plan.

• GovInfo bill status for H.R. 7336
• GovInfo bill status for S. 3763

Last reviewed Oct 1, 2026

Consumer health data law relevant to non-HIPAA mental health and caregiving applications.

Who it affects: family caregivers, care recipients, care technology users

Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction.

• Nevada SB370 PDF

Last reviewed Sep 25, 2026

Requires health facilities and clinics to include a GenAI disclaimer for patient health-status communications unless reviewed by a licensed or certified provider.

Who it affects: family caregivers, care recipients, care technology users

Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction.

• California Department of Public Health AFL-25-07

Last reviewed Sep 25, 2026

H.R.2036 would allow an eligible caregiver a credit equal to 30 percent of qualified expenses paid during the taxable year to the extent those expenses exceed $2,000. Introduction and referral occurred on March 11, 2025; Congress.gov does not show a floor vote.

Who it affects: working family caregivers, dementia caregivers, care recipients with functional limitations

Why it matters: Caregivers often absorb out-of-pocket costs while reducing work hours; tax policy is one route for direct economic support.

• Congress.gov H.R.2036 text

Last reviewed Sep 25, 2026

Restricts AI systems programmed to provide professional mental or behavioral health care, including marketing and direct care interactions.

Who it affects: family caregivers, care recipients, care technology users

Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction.

• Nevada AB406 enrolled PDF

Last reviewed Sep 25, 2026

Restricts AI in therapy and psychotherapy, reserves therapeutic services for licensed professionals, and creates civil penalties.

Who it affects: family caregivers, care recipients, care technology users

Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction.

• Illinois HB1806 bill status
• Illinois IDFPR announcement

Last reviewed Sep 25, 2026

Defines AI companions around sustained human-like relationships, prior-interaction memory, emotion-based questions, and personal dialogue.

Who it affects: family caregivers, care recipients, care technology users

Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction.

• New York GBS section 1700
• New York Governor notice to AI companion companies

Last reviewed Sep 25, 2026

Adds child-safety restrictions involving responsive generative communication and AI-enabled interaction with minors.

Who it affects: family caregivers, care recipients, care technology users

Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction.

• New Hampshire HB143 final text
• New Hampshire HB143 LegiScan(tracker)

Last reviewed Sep 25, 2026

Requires companion chatbot disclosures, suicide and self-harm safeguards, protections for minors, and reporting obligations for operators.

Who it affects: family caregivers, care recipients, care technology users

Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction.

• California SB 243 bill page

Last reviewed Sep 25, 2026

Restricts AI systems from representing themselves with licensed health-care titles or implying licensed clinical authority.

Who it affects: family caregivers, care recipients, care technology users

Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction.

• California AB 489 bill page

Last reviewed Sep 25, 2026

Creates a state AI regulatory framework, disclosure requirements for certain AI users including health care service providers, prohibited AI uses, enforcement, a sandbox, and an AI council.

Who it affects: family caregivers, care recipients, care technology users

Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction.

• Texas HB149 enrolled bill summary

Last reviewed Sep 25, 2026

Regulates mental health chatbots, including representations about psychotherapy or treatment and conduct by chatbot suppliers.

Who it affects: family caregivers, care recipients, care technology users

Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction.

• Vermont H.814 bill status

Last reviewed Sep 25, 2026

Restricts artificial intelligence systems from representing themselves as licensed mental-health professionals or providing certain professional mental-health services.

Who it affects: family caregivers, care recipients, care technology users

Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction.

• Tennessee SB1580 bill information

Last reviewed Sep 25, 2026

Requires clear and recurring AI companion disclosures, minor protections, limits on manipulative engagement, self-harm protocols, and public protocol reporting.

Who it affects: family caregivers, care recipients, care technology users

Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction.

• Washington HB2225 session law
• Washington HB2225 bill summary

Last reviewed Sep 25, 2026

Includes companion chatbot duties, including notice, protections around sustained engagement, and safety expectations for vulnerable users.

Who it affects: family caregivers, care recipients, care technology users

Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction.

• Connecticut SB 5 bill status

Last reviewed Sep 25, 2026

Requires notice that users are interacting with artificial output, self-harm detection and response protocols, minor safeguards, annual reports, and user actions for ascertainable harm.

Who it affects: family caregivers, care recipients, care technology users

Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction.

• Oregon SB1546 overview
• Oregon SB1546 enrolled measure

Last reviewed Sep 25, 2026

Repeals and reenacts Colorado AI Act provisions as an automated decision-making technology framework with transparency and consumer-rights obligations.

Who it affects: family caregivers, care recipients, care technology users

Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction.

• Colorado SB24-205 bill page
• Colorado SB26-189 bill page

Last reviewed Sep 25, 2026

Adopts conversational AI safety requirements for public conversational AI services, including disclosure and youth-safety obligations.

Who it affects: family caregivers, care recipients, care technology users

Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction.

• Idaho S1297 legislation page

Last reviewed Sep 25, 2026

Adopts the Conversational Artificial Intelligence Safety Act, defining public conversational AI services and related operator obligations.

Who it affects: family caregivers, care recipients, care technology users

Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction.

• Nebraska LB525 bill page

Last reviewed Sep 25, 2026

Adopts public conversational AI service requirements, including operator duties for disclosure and safety.

Who it affects: family caregivers, care recipients, care technology users

Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction.

• Iowa SF 2417 bill book
• Iowa SF 2417 LegiScan(tracker)

Last reviewed Sep 25, 2026

Creates duties for public conversational AI services, including disclosure and child-safety requirements for certain AI interactions.

Who it affects: family caregivers, care recipients, care technology users

Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction.

• Georgia SB540 legislation page
• Georgia SB 540 LegiScan(tracker)

Last reviewed Sep 25, 2026

Requires clear and conspicuous notice when an AI chatbot may mislead a reasonable consumer into believing they are engaging with a human.

Who it affects: family caregivers, care recipients, care technology users

Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction.

• Maine Title 10 section 1500-DD

Last reviewed Sep 25, 2026

Public Law Chapter 687 regulates the use of AI in providing certain mental health services and limits therapy or psychotherapy use to licensed professional oversight.

Who it affects: family caregivers, care recipients, care technology users

Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction.

• Maine LD 2082 summary
• Maine Public Law Chapter 687 PDF

Last reviewed Sep 25, 2026